Post-ICU Weaning From Mechanical Ventilation

Scheinhorn, David J.; Chao, David F.; Hassenpflug, Meg; Gracey, Douglas R.

doi:10.1378/chest.120.6_suppl.482s

Cited by 46 publications

(25 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early survival from acute respiratory failure in the ICU has increased during the past two decades (2)(3)(4), and a growing number of patients receive mechanical ventilation for prolonged periods of time. These patients often require protracted stay in acute care hospitals because they necessitate complex medical treatment and specialized nursing care not available in many rehabilitation and long-term care facilities (5)(6)(7)(8).…”

mentioning

confidence: 99%

“…In many institutions, patients with acute respiratory failure who are hemodynamically and metabolically stable are transferred from the ICU to units that are specialized in completing the process of weaning from mechanical ventilation, optimizing the patients' medical status, and organizing their transfer to rehabilitation facilities (6,8). However, these patients do not uniformly fare well, and they may experience complications requiring readmission to an ICU, reinstitution of various means of life support, and further prolongation of mechanical ventilation (9).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Outcome of patients undergoing prolonged mechanical ventilation after critical illness*

Bigatello

Stelfox

Berra

et al. 2007

Critical Care Medicine

View full text Add to dashboard Cite

The majority of patients requiring prolonged mechanical ventilation in a respiratory unit after acute critical illness are liberated from mechanical ventilation, survive, and have a steady improvement in the activity of daily living during the first 6 months after discharge. However, a substantial fraction of these patients does not wean from mechanical ventilation and dies from consensual withdrawal of life support after a prolonged and costly hospital stay.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Outcome of patients undergoing prolonged mechanical ventilation after critical illness*

Bigatello

Stelfox

Berra

et al. 2007

Critical Care Medicine

View full text Add to dashboard Cite

show abstract

“…With the rapid growth of LTCHs since 1983, the situation has eased somewhat and these institutions have started to accept patients requiring long-term mechanical ventilation, and have been able to focus on weaning patients from long-term mechanical ventilation (2,3). Ideally, the LTCH approach provides the basis for rehabilitation of patients, with a multidisciplinary approach comprising elements such as LTC specialist nurses, respiratory therapists, dieticians, physiotherapists, speech therapists, occupational therapists and experienced discharge planners (27). Some centres include a psychiatrist and clinical psychologist in the team and are thus helpful in meeting the emotional needs of the patients families (27).…”

Section: General Features Of Ltchmentioning

confidence: 99%

“…Ideally, the LTCH approach provides the basis for rehabilitation of patients, with a multidisciplinary approach comprising elements such as LTC specialist nurses, respiratory therapists, dieticians, physiotherapists, speech therapists, occupational therapists and experienced discharge planners (27). Some centres include a psychiatrist and clinical psychologist in the team and are thus helpful in meeting the emotional needs of the patients families (27).…”

Section: General Features Of Ltchmentioning

confidence: 99%

Long-term care hospitals in Turkey: a review

Dinçer

Kahveci

Döğer³

et al. 2017

East Mediterr Health J

View full text Add to dashboard Cite

Centres de long séjour hospitaliers en Turquie : analyseUn centre hospitalier de soins de longue durée (CHSLD) est un établissement spécialisé accueillant des patients qui souffrent de graves problèmes de santé et nécessitent des soins continus et intensifs sans avoir à recourir à des méthodes diagnostiques complètes. Les CHLSD fournissent des soins prolongés et complexes ainsi que des soins de plaies dans la période qui suit la phase aigüe de la maladie. Aux États-Unis, lorsque le séjour en unité des soins intensifs est prolongé, les patients peuvent être transférés vers un CHSLD. Medicare recommande une période d'hospitalisation en CHSLD de plus de 25 jours. Le système des CHSLD en Europe est différent de celui qui est établi dans d'autres pays non-européens. On note par ailleurs des différences entre les pays européens eux-mêmes. Dans la pratique, les patients qui ont besoin de soins de longue durée en Turquie sont hospitalisés en unités de soins intensifs. Le concept des soins de longue durée est nouveau dans le système de santé turc et il n'y existe pas d'études sur les CHSLD. Une proportion importante des lits réservés aux unités de soins intensifs en Turquie sont utilisés pour les soins de longue durée aux patients atteints de problèmes complexes. ABSTRACT A long-term care hospital (LTCH) is a specialized facility for patients with serious health problems who require continuous and intensive care but not comprehensive diagnostic methods. LTCHs provide prolonged complex care and wound care in the period following the acute stage of disease. When intensive care unit (ICU) stay is prolonged in the United States of America, the patients may be transferred to an LTCH. Medicare suggests hospitalization > 25 days in LTCHs. The LTC system in Europe differs from that in other non-European countries and differences are also seen among European countries. In practice, patients who need LTC in Turkey are hospitalized in ICUs. Long term care is a new concept for the Turkish health system and there are no studies on LTCHs in Turkey. A significant proportion of intensive care beds in Turkey are used for long-term hospitalized patients with complex problems. This is a clear waste of resources. The establishment of LTCHs in Turkey would prevent from this waste and provide the opportunity to increase experience of complex treatments.

show abstract

“…41 The use of weaning protocols in the ICU setting has helped standardize the weaning process and has resulted in a reduction in the number of days to extubation, decreased the need for tracheostomy, and lowered ICU costs. 2 Weaning protocols have also been successfully employed to reduce weaning times in PMV patients at LTAC hospitals 43 and weaning units in acute care facilities. 44 In reality, the variable recovery trajectories of patients undergoing PMV may be impossible to synchronize with any weaning protocol, and an individualized multidisciplinary approach is likely the most effective strategy.…”

Section: Systematic Approach To Weaning Trials/ Liberation Trialsmentioning

confidence: 99%

Long-Term Mechanical Ventilation: Management Strategies

White

2012

Respir Care

View full text Add to dashboard Cite

SummaryThis paper reviews management strategies for patients undergoing prolonged mechanical ventilation (PMV). Topics covered include how to identify and correct barriers to weaning, the systematic approach to weaning trials, when to cease weaning trials and proceed with life-long support, managing the tracheostomy tube during PMV, and, finally, how to select a suitable mechanical ventilator for PMV.

show abstract

Post-ICU Weaning From Mechanical Ventilation

Cited by 46 publications

References 15 publications

Outcome of patients undergoing prolonged mechanical ventilation after critical illness*

Outcome of patients undergoing prolonged mechanical ventilation after critical illness*

Long-term care hospitals in Turkey: a review

Long-Term Mechanical Ventilation: Management Strategies

Contact Info

Product

Resources

About